Behavioral Objectives
|Behavioral Objectives |Content Outline |Clinical Objectives |Learning opportunities |
|Apply the terms listed in the content column |Application of terms |Analyze client data to compare expected |READ: |
|appropriate to the client’s situations. |Bronchiolectasis |and achieved outcomes for client. |Lewis (2011) |
| |Carbon dioxide narcosis | | |
| |Emphysema |Implement cost effective care. |Lehne (2010) |
| |Muscular dystrophy | | |
| |Sleep Apnea |Use current technology and evidence-based|McKinney (2009) |
| |Sudden infant death syndrome (SIDS) |information to formulate and modify the | |
|Compare and contrast the normal | |nursing plan of care. |VIDEOS: |
|anatomy and physiology to the |II. Anatomy & Physiology of the Respiratory System | |#M017 – Physical Assessment: The Lungs |
|pathophysiology of the disease |A. Developmental considerations |Collaborate with other health care | |
|processes in the respiratory system |1. Infant |providers with treatments and procedures.|#1158 – Asthma, Emphysema and |
|across the lifespan. |2. Child | |Chronic Bronchitis |
| |3. Adolescent |Select and carry out safe and appropriate| |
| |4. Adult |activities to assist client to meet basic|#M067 – Normal and Abnormal Breath Sounds |
| |5. Older adult |physiologic needs, including: | |
| |B. Pathophysiology of respiratory system: |circulation, nutrition, oxygenation, |#226 – Respiratory Alkalosis & Acidosis |
| |Alteration in Ventilation/Perfusion |activity, elimination, comfort, rest and | |
| |Acidosis |sleep. |#227 – Metabolic Alkalosis & |
| |Alkalosis | |Acidosis |
|Analyze factors including the | |Collaborate with others to develop and | |
|assessment of the client experiencing |Respiratory Assessment |modify individualized teaching plans |#M124 – Tuberculosis: Prevention and Practices for |
|complex problems of the respiratory |Interview |based on developmental and health care |Healthcare Workers |
|system, including the developmental |Chief complaint |learning needs. | |
|and cultural considerations. |Present illness | |COMPUTER SIMULATIONS: |
| |Prior medical history |Individualize and implement established | |
| |Family/social/occupational history |teaching plans. |Laser 5033 – Physical Examination of the Respiratory |
| |Medication history | |System |
| |Prescription/non-prescription |Evaluate learning outcomes of the client | |
| |Knowledge of health maintenance |receiving instruction. |Laser 5017 – Promoting Oxygenation |
| |Identify risk factors | | |
| |Physical Exam |Modify teaching methods to accommodate |Laser 5045 – Critical Care Nursing – Critical |
| |Vital signs |client differences. |Thinking: Pulmonary Care |
| |Level of consciousness |Adjust priorities for nursing | |
| |Breathing pattern (rate, depth, rhythm, effort, symmetry) |interventions in emergency situations. | |
| |Chest pain | | |
| |Breath sounds |Evaluate and communicate quality and |MEDCOM ONLINE FILMS: |
| |Breath odor |effectiveness of therapeutic |VIDM238-T The Basics of Oxygen Administration |
| |Tracheal position |interventions. | |
| |Color (central & peripheral) | |VIDM240-T Assessment of Respiratory Distress in the |
| |Cough | |Pediatric Patient |
| |Sputum | | |
| |Activity level | |VIDM199S-T Tuberculosis: New Strategies for the |
| |Capillary refill | |Healthcare Worker |
| |Diagnostic Tests | | |
| |Laboratory | | |
| |Complete blood count (CBC) | | |
| |Pulmonary function tests | | |
| |Acid-fast bacillus | | |
| |Sweat test | | |
| |Coagulation study (PT/PTT/INR) | | |
| |Culture & sensitivity | | |
| |Radiology | | |
| |Chest x-ray | | |
| |Lung Scan | | |
| |Bronchoscopy | | |
| |Other | | |
| |Arterial blood gases (ABG) | | |
| |Pulse oximeter | | |
| |Skin test | | |
| |D. Cultural Influences | | |
| |Hereditary | | |
| |Environmental | | |
| |Health beliefs/practices Developmental | | |
| |Age specific assessment data | | |
| |Vital signs | | |
| |Breathing pattern | | |
| |Capillary refill | | |
| |Fluid/electrolyte nutritional needs | | |
| |Behavioral/emotional response to health | | |
| |care providers | | |
| | | | |
|Differentiate between the etiology, |Complex Respiratory Problems | | |
|pathophysiology, and clinical |Arterial blood gases | | |
|manifestations of selected complex |Croup syndrome/Respiratory syncytial virus | | |
|respiratory problems. | | | |
| |Mechanical ventilator | | |
| |Tracheostomy Care | | |
| |Chronic Obstructive Pulmonary Disease (COPD) | | |
| |Chronic bronchitis | | |
| |2) Emphysema | | |
| |Pneumo/hemothorax | | |
| |Pleural effusion | | |
| |Cystic fibrosis | | |
| |Scoliosis | | |
| |Myasthenia gravis | | |
| |Pulmonary embolus/Deep vein thrombosis | | |
| |Adult Respiratory Distress Syndrome (ARDS) | | |
| |Tuberculosis | | |
| |Guillain-Barre’ | | |
| | | | |
| |Selected nursing diagnoses/nursing implementation/evaluation. | | |
|Discuss analysis, planning, |Impaired gas exchange: Ventilation/perfusion inequality. | | |
|implementation and evaluation for |Independent interventions | | |
|the nursing management of clients |Respiratory status | | |
|with complex respiratory problems |Pulmonary toilet | | |
|and associated technology. |Positioning for maximum ventilation | | |
| |Energy conservation | | |
| |Fluid volume balance | | |
| |Nutritional support | | |
| |Breathing techniques | | |
| |Monitoring pertinent diagnostic tests | | |
| |Maintain asepsis | | |
| |Collaborative interventions | | |
| |Oxygen support | | |
| |Mechanical ventilation | | |
| |Collaborate with Respiratory Therapy | | |
| |Administer medications and monitor for desired effects/adverse | | |
| |effects/side effects | | |
| |Steroids | | |
| |Antibiotics | | |
| |Analgesics | | |
| |Mucolytics | | |
| |Expectorants | | |
| |Anticoagulant | | |
| |Antituberculosis | | |
| |Antipyretics | | |
| |Cough suppressants | | |
| |Nebulized epinephrine | | |
| |(Racemic epi) | | |
| |Bronchodilators | | |
| |Pancreatic enzymes | | |
| |Leukotriene Modifiers | | |
| |Surgical modalities | | |
| |Chest tubes | | |
| |Thoracentesis | | |
| |Bronchoscopy | | |
| |Lung biopsy | | |
| |Vena-cava ligation umbrella | | |
| |Rod instrumentation | | |
| |Pleurodesis | | |
| |Tracheostomy | | |
| |Nutritional support | | |
| |High carbohydrate, high salt | | |
| |Recognition of complications | | |
| |Mediastinal shift | | |
| |Airway obstruction | | |
| |Respiratory failure | | |
| |Infection | | |
| |Hemorrhaging | | |
| |Crepitus(subcutaneous emphysema) | | |
| | | | |
| | | | |
| |Flail chest | | |
| |Spontaneous pneumothorax | | |
| |Ventilatory dependence | | |
| |Tracheal erosion | | |
| |Vocal cord trauma | | |
| |Nutritional problems (anorexia) | | |
| |Reproductive problems | | |
| |Febrile seizures | | |
| |Rectal prolapse | | |
| |The client will exhibit improved gas | | |
| |exchange as evidenced by: | | |
| |Breathing pattern | | |
| |Level of consciousness | | |
| |Vital signs | | |
| |Color | | |
| |Cough/sputum | | |
| |Decreased pain | | |
| |Activity level | | |
| |Arterial blood gases & pulse oximeter | | |
| |Altered health maintenance: Knowledge deficit. | | |
| |Client teaching | | |
| |Assess readiness to learn, ability, knowledge/educational level | | |
| |Avoid aggravating factors/alleviating factors | | |
| |Breathing techniques | | |
| |Reportable signs/symptoms | | |
| |Medication teaching | | |
| |Rest/activity | | |
| |Relaxation technique | | |
| |Nutritional | | |
| |Milwaukee brace | | |
| | | | |
| | | | |
| | | | |
| |Community resources | | |
| |Cystic Fibrosis foundation | | |
| |American Lung Association | | |
| |Sudden Infant Death Syndrome Association | | |
| |Empty Cradle | | |
| |Home Health | | |
| |Department of Public Health | | |
| |Long term care facility for ventilator dependent client | | |
| |Pulmonary rehabilitation program | | |
| |Genetic counseling | | |
| |The client will have improved health maintenance as evidenced by: | | |
| |Identifying aggravating and alleviating factors | | |
| |Identifying reportable signs and symptoms | | |
| |Describing the purpose, correct administration and side effects of | | |
| |meds | | |
| |Ability to discuss diagnosis | | |
| |surgical procedure, and post care | | |
| |Demonstrates osmotic care | | |
| |Increasing activity as tolerated | | |
| |Achieves optimum level of nutrition through prescribed diet | | |
| |Utilizing community resources | | |
| |Ineffective coping: Anxiety, fear, powerlessness, dependence | | |
| |Establish trust and rapport | | |
| |Therapeutic communication techniques | | |
| |Diversional activity | | |
| |Parenting skills | | |
| |Involve in decision making | | |
| |Counseling (vocational, spiritual, psychosocial, grief) | | |
| |Age specific coping strategies | | |
| |The client will have effective coping as evidenced by: | | |
| |Verbalization of different methods/techniques to cope effectively | | |
| |Seeking appropriate counseling when necessary | | |
| |Engaging in activities appropriate for age, interest, condition, and | | |
| |cognitive level | | |
| |Demonstrating a willingness and ability to resume self care/role | | |
| |responsibility | | |
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n:soph\fall\Unit III Respiratory Revised 04/10
Reviewed 07/11
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